EMS Fellowship - Second Year Program

One of the major strengths of the Seattle and King County EMS system is its commitment to scholarly activity. The organizations have long traditions of carefully measuring and tweaking each aspect of the system. Many of the “tweaks” turn out to be insignificant. Occasionally, one of the changes appears to make a positive impact on medical care. Some of these discoveries, such as 9-1-1 call taker instruction in Hands-only CPR over the telephone and the impact of prehospital endotracheal intubation on survival from brain injury, have been published in reputable medical journals such as the New England Journal of Medicine, JAMA, Lancet, Circulation, Resuscitation, and Prehospital Emergency Care. We feel that one year is likely an insufficient amount of time to develop, implement, and then study an intervention in the prehospital environment. A second year increases the complexity of the projects available to the fellow. 

Fellows who are interested can spend a second year accessing the outstanding School of Public Health at the University of Washington. A variety of Master's degree programs are available, depending on the needs and interests of the fellow. In addition, during the second year, fellows will continue to be involved in the operations of Seattle Fire Medic One, King County EMS, and Airlift Northwest. The second year of EMS fellowship training also gives the fellow the opportunity to complete EMS research and establish the publication track record essential to a successful academic EMS career.

The University of Washington holds a Clinical and Translational Science Award (CTSA) from the National Institutes of Health. Fellows have access to the biostatistical, epidemiological, and research methods training provided by the University of Washington’s Institute of Translational Health Sciences. The Seattle Fire Department’s cardiac arrest registry (the Cobb file) transitioned in 2013 to the RedCap software systems provided by the UW ITHS.

The Seattle Fire Department cardiac arrest registry maintains extensive records on all resuscitation attempts from the first resuscitation attempt in March 1970 to the present and is a resource available to the fellow. Seattle Fire has PhD biostatistical support and data management services funded through the Medic One Foundation. Dr. Leonard Cobb, the Emeritus Medical Director for Seattle Medic One, hosts a research meeting weekly on Thursday afternoons.

Similarly, the King County Center for the Evaluation of EMS (CEEMS) program has maintained a separate cardiac arrest registry since April 1976 to the present.  King County also maintains an airway registry with extensive records on more than 8,000 patients with endotracheal intubations. This is a rich source for research publications such as this. The King County CEEMS also has dedicated statistical support and data management services. In addition, the University of Washington School of Medicine faculty affiliated with King County CEEMS sponsor medical students each summer to work on specific EMS research projects. The fellow will have the opportunity to contribute to these ongoing activities.

Both Seattle Fire Department and King County EMS participate with the Resuscitation Outcomes Consortium (ROC) research programs. The University of Washington Department of Biostatistics in the School of Public Health is the home of the Clinical Trial Center and the coordinating center for the ROC.

The second year fellow will work as an attending Emergency Medicine physician in the Emergency Department at Harborview Medical Center. This role as an academic attending working with Emergency Medicine Residents, off service residents and medical students as well as other learners including Paramedic students and military trainees prepares the fellow to enter the world of academics as a teaching provider.  Second year fellows will be appointed as “Senior Fellow / Acting Instructor” at the UW School of Medicine. Fellows will have benefits commensurate with a faculty appointment at the University of Washington. This includes a tuition exemption. Second years EMS fellows will work 6 shifts a month in the Emergency Department at Harborview Medical Center.